American Society of Plastic Surgeons
For Medical Professionals
 
elaine
one year ago
Answered

Diastasis Recti repair

I am a 76 year old white female. And have been diagnosed w diastasis Recti w umbilical hernia. Could you recommend an experienced surgeon to repair this condition within 100 miles of Hendersonville NC? Do I need a plastic surgeon or general?

I have been advised that due to complications caused by this condition I may qualify for Medicare. I also have Tricare for Life. Thx. Elaine

Procedure: Tummy Tuck
Type: Question

Replies 4

Rahul Vemula
ASPS Surgeon
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Umbilical hernias can be done by both plastic and general surgeons. Especially those of us who are double boarded in general and plastic surgery are usually comfortable in handling this. The rectus diastasis repair is generally done by plastic surgeons. Medicare should cover the umbilical hernia, however the rectus diastasis is considered cosmetic and not covered by insurance.

Please use the find a surgeon feature on this website to find a board certified plastic surgeon in your geographic area.

Best wishes!

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Lawrence Glassman
ASPS Surgeon
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Repair of Diastasis Rectus Muscles is associated with abdominal pain which requires recuperation that will limit both mobility and ambulation. Breathing can also be affected. The complication rate is higher in patients in their 70’’s. For these reasons, I very rarely perform this surgery on patient’s in this age group. That being said, good physical and medical health is a must.

An umbilical hernia is a medical condition which often needs to be repaired to prevent more serious problems. Medicare usually covers an umbilical hernia, not repair of diastasis recti.

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Susan Buenaventura
ASPS Surgeon
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Hello, I would see a plastic surgeon first as they will repair the diastasis and possibly the hernia as well. If they feel you need a general surgeon also, they can recommend it at that time. Diastasis recti repair is not covered by insurance and cannot be submitted to Medicare. The hernia repair can be submitted for insurance coverage, so you will have part cosmetic, part insurance for billing purposes. Ask ASPS for a list of board certified plastic surgeons near you. Best wishes.

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Nelson Castillo

Thank you for sharing your excellent question. Some of your procedure (umbilical hernia repair) can likely be covered by insurance but coverage of the diastasis repair may not be, especially if you would like to combine the procedures with an abdominoplasty. That said your full medical history will need to be known in order to afford you the best advice. Hope this helps.

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